- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00474188
A Study to Evaluate Lenalidomide Combined With Dexamethasone in Relapsed or Refractory Diffuse Large B-Cell Lymphoma
A Phase II, Multicenter, Single-Arm, Open-Label Study to Evaluate the Safety and Efficacy of Lenalidomide (Revlimid ®) in Combination With Dexamethasone in Subjects With Relapsed or Refractory Diffuse Large B-Cell Lymphoma
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Non-Hodgkin's lymphoma (NHL) can be divided into two general prognostic groups: the indolent lymphomas and the aggressive lymphomas. Indolent lymphomas have a relatively good prognosis, with median survival time as long as 10 years, but they are not usually curable in advanced stages. Aggressive NHL constitutes about half of all cases of NHL in North America and Western Europe. Of the aggressive lymphomas, diffuse large B-cell lymphoma (DLBCL) is the most common type, accounting for up to 30 percent of newly diagnosed cases. The aggressive type of NHL has a shorter natural history; approximately 50-60% of these subjects can be cured with combination chemotherapy regimens. Even with recent advances, many patients with advanced stage DLBCL are not cured with conventional therapy. This leaves a subset of subjects who will eventually relapse or who are refractory to treatment.
Due to the variation in the clinical behavior of the different types of aggressive NHL, it is important to test lenalidomide in DLBCL. Other studies are addressing the activity of lenalidomide in the other types of aggressive lymphomas, as well as in indolent NHL. It is important to test lenalidomide in combination therapy. This study is focused on treating subjects with relapsed or refractory DLBCL using oral lenalidomide in combination with oral dexamethasone.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Frankston, Australia, VIC 3199
- Frankston Hospital
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South Brisbane, Australia, QLD 4101
- HOCA
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Wodonga, Australia, VIC 3690
- Border Medical Oncology
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Victoria
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Melbourne, Victoria, Australia, VIC3050
- The Alfred Hospital
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Alberta
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Edmonton, Alberta, Canada, T6G 1Z2
- Cross Cancer Institute
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Arizona
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Glendale, Arizona, United States, 85304
- Palo Verde Hematology/Oncology, Ltd.
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California
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Beverly Hills, California, United States, 90211
- Tower Cancer Research Foundation
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Florida
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Miami, Florida, United States, 33176
- Advanced Medical Specialties
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Port St. Lucie, Florida, United States, 34952
- Hematology/Oncology Associates of Treasure Coast
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Georgia
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Marietta, Georgia, United States, 30060
- Northwest Georgia Oncology Centers
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Illinois
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Arlington Heights, Illinois, United States, 60005
- Cancer Care & Hematology Specialists of Chicagoland
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Chicago, Illinois, United States, 60612
- Rush University Medical Center
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Chicago, Illinois, United States, 60611
- Northwestern University, Feinberg School of Medicine
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Kentucky
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Lexington, Kentucky, United States, 40536
- University of Kentucky
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Louisiana
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Lafayette, Louisiana, United States, 70503
- Southwest Oncology Associates
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Maryland
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Hagerstown, Maryland, United States, 21742
- Washington County Hospital, The Center for Clinical Research
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Michigan
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Kalamazoo, Michigan, United States, 49048
- Kalamazoo Hematology & Oncology
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New Jersey
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Denville, New Jersey, United States, 07834
- Oncology & Hematology Specialists, PA
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Hackensack, New Jersey, United States, 07601
- Hackensack University Medical Center
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North Carolina
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Hickory, North Carolina, United States, 28602
- Northwestern Carolina, Oncology and Hematology PA
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New Bern, North Carolina, United States, 28562
- New Bern Cancer Care
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Ohio
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Columbus, Ohio, United States, 43210
- James Cancer Hospital
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Texas
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Austin, Texas, United States, 78705
- Southwest Regional Cancer Center
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Utah
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Ogden, Utah, United States, 84403
- Northern Utah Associates
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Biopsy-proven diffuse large B-cell non-Hodgkin's lymphoma
- Relapsed or refractory to previous therapy for non-Hodgkin's lymphoma
- Measurable disease on cross sectional imaging that is at least 2 cm in the longest diameter
- ECOG performance score of 0,1 or 2
- Willing to follow the pregnancy precautions
Exclusion Criteria:
- Any of the following laboratory abnormalities.
- Absolute neutrophil count (ANC) < 1,500 cells/mm3 (1.5 x 109/L).
- Platelet count < 60,000/mm3 (60 x 109/L).
- Serum SGOT/AST or SGPT/ALT 5.0 x upper limit of normal (ULN).
- Serum total bilirubin > 2.0 mg/dL (34 µmol/L).
- Subjects who are candidates for and willing to undergo an autologous stem cell transplant.
- History of active CNS lymphoma within the previous 3 months
- Subjects not willing or unable to take DVT prophylaxis
- History of other malignancies within the past year
- Positive HIV or active Hepatitis B or C
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Single Arm
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Lenalidomide 25 mg, orally, once daily, on Days 1 to 21 of every 28-day cycle administerd in combination with dexamethasone 40 mg, orally, once daily, on Days 1, 8, 15, and 22 of every 28-day cycle
Other Names:
Dexamethasone 40 mg, orally, once daily, on Days 1, 8, 15, and 22 of every 28-day cycle administered in combination with lenalidomide 25 mg, orally, once daily, on Days 1 to 21 of every 28-day cycle.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Tumor Response Rate
Time Frame: One Year
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Number of participants demonstrating complete or partial tumor response (Cheson B, Horning S, Coiffier B, Shipp M, Fisher R, Connors J, et al, Report of an international workshop to standardize response criteria for non-Hodgkins' lymphoma. J Clin Oncol.1999;17:1244-53). Study terminated prematurely. Analysis not conducted. |
One Year
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Tumor Control Rate
Time Frame: One Year
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Number of participants demonstrating complete tumor response, partial tumor response, or stable disease. Study terminated prematurely. Analysis not conducted. |
One Year
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Duration of Response
Time Frame: One year
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Time from first demonstration of at least a partial response to the first documentation of disease progression, including death due to non-Hodgkin's lymphoma. Study terminated prematurely. Analysis not conducted. |
One year
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Time to Progression
Time Frame: One year
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Time from the start of study drug therapy to the first documentation of disease progression. Study terminated prematurely. Analysis not conducted. |
One year
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Progression-free Survival
Time Frame: One year
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Time from the start of study drug therapy to the first observation of disease progression or death due to any cause. Study terminated prematurely. Analysis not conducted. |
One year
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Andrew Spencer, MD, The Alfred
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Immune System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Lymphoproliferative Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Lymphoma, Non-Hodgkin
- Lymphoma
- Lymphoma, B-Cell
- Lymphoma, Large B-Cell, Diffuse
- Physiological Effects of Drugs
- Autonomic Agents
- Peripheral Nervous System Agents
- Anti-Inflammatory Agents
- Antineoplastic Agents
- Immunologic Factors
- Antiemetics
- Gastrointestinal Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Angiogenesis Inhibitors
- Angiogenesis Modulating Agents
- Growth Substances
- Growth Inhibitors
- Dexamethasone
- Lenalidomide
Other Study ID Numbers
- CC-5013-NHL-005
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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